Jung Sun Han, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

60106 Issued in CA

Practice address

170 King St
Suite 105
San Francisco, CA 94107-1917

Phone

(415) 347-3817

NPI assigned

Jun 26, 2008

Last updated

Oct 18, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• King Street Dental, Inc.

  • Dentist
  • San Francisco, CA
  • NPI 1285974600
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1881856383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 KING ST",
            "address_2": "SUITE 105",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071917",
            "telephone_number": "415-347-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 KING ST",
            "address_2": "SUITE 105",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071917",
            "telephone_number": "415-347-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "JUNG",
        "middle_name": "SUN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "495",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "60106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fengwei Han, CMP
• George Shin Han, MD, MPH
• James K Han, D.D.S.
• Jasmine Han
• Jun Han
• Justine Han, PHARMD
• Kasey Han
• Kenneth Han
• Kisoo Han, D.C.
• Lucy Han

• Periodontics in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.